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Davanzo Tate JR.
Home Health Aide in Youngstown, Ohio
NPI 1225400021

Davanzo Tate JR. is a Home Health Aide based in Youngstown, OH. Davanzo Tate JR. practices in Youngstown, OH. The NPI Number for Davanzo Tate JR. is 1225400021 and holds a License No. 5004944 (Ohio).

The current practice location address for Davanzo Tate JR. is 6602 Harvest Ridge Dr, Youngstown, OH and can be reached out via phone at 330-974-5415.

Location: 6602 Harvest Ridge Dr, Youngstown, OH, 44515-5562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225400021
Provider Name
Davanzo Tate JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6602 Harvest Ridge Dr, Youngstown, OH, 44515-5562
Phone Number
330-974-5415
Fax Number
Provider Enumeration Date
10/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0135706 05 OH
institution
Provider Business Practice Location Address Details
Address
6602 Harvest Ridge Dr
City
Youngstown
State
Ohio
Zip
44515-5562
Phone Number
330-974-5415
Fax Number
person
Provider Business Mailing Address Details
Address
6602 Harvest Ridge Dr
City
Youngstown
State
Ohio
Zip
44515-5562
Phone Number
330-974-5415
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
5004944 (Ohio)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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